81140 Appliances, Removable, Closure of Diastemas
| 80000 | ORTHODONTICS |
||
| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
||
| 81100 | APPLIANCES, REMOVABLE |
||
| 81140 | Appliances, Removable, Closure of Diastemas | ||
| 81141 | Appliance, Maxillary, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |
| 81142 | Appliance, Mandibular, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |